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Effectiveness of Rest in Treating PF

Posted by Jeff D. on 9/14/99 at 00:00 (010950)

I have had PF for 6 mos. It has progressed to both feet.
I work in a job in which I am on my feet constantly on cement
floors.
My Dr. seems quite conservative in his treatment: stretches, NSAIDs,
orthotics and now is recommending cortisone.
What is the general feeling out there about continuing to work
in such a feet punishing environment and its effect on PF?



Re: Effectiveness of Rest in Treating PF

Trish on 9/14/99 at 00:00 (010952)

My opinion is that it's bad news.........

Re: Effectiveness of Rest in Treating PF

Lee M. on 9/15/99 at 00:00 (010954)

Jeff,
I'm a hairstylist and work on tile floors in my salon. Also have almost all tile in my home (big mistake). I've wondered if I took a month off
of work if it would help my pf (bone spur) heal. Sometimes my foot seems better when I've been walking more. Kind of like stretching it. And if rest does help, why is it so much worse in the morning. Most of my pain is gone, and I've been so hopeful that I could get rid of the last bit of pain, but nothing is working. I can stand and walk on my foot for most of the day now. A few months ago I was ready to retire or cut off my foot.
Has anybody really stayed completely off their feet, and has it
helped ????

Re: Effectiveness of Rest in Treating PF

Lori S on 9/15/99 at 00:00 (010958)

I 'rested' for 3 weeks after my surgery this summer and it didn't help my other foot at all. So, I don't think it's much help.
Lori in AZ

Re: Effectiveness of Rest in Treating PF

YokoS on 9/15/99 at 00:00 (010962)

Dear LeeM
Let me tell you my experience.
I am a pretty much active full time office worker.
I took 2 weeks off and stayed at my parents'(Japan)in July.
No exercise, no driving, no excess walking but watching TV all day long while I was there. I thought this was the only chance to try 'complete rest' of my feet. Before I had left here, my sis made three appintments at well known acupuncture in her neighbor, and she gave me rides. At that time I did not know this board.
My doc told me that 'REST' is the only treatment after custom made ortho, series of shots and pills before surgery. Also I really wanted to go back to upcoming marathon training as soon as my foot was healed, therefore, I decided to have my boring '99 vacation w/parents.
I was pretty much stayed off on my foot for 2 full weeks, except routine walk inside of(tiny) house. Well well well.......
my husband was disappointed to see me still limping at arrival in the US. This is my story, not yours!! Take care.

Re: Effectiveness of Rest in Treating PF

Kara M on 9/15/99 at 00:00 (010968)

Hi,
I agree with all these responses, I'm a teacher so I'm always on my feet, carrying stuff, etc, and I had to figure out my own system to alleviate my pf pain ( tape every morning, birks, stretches, good posture, etc)
I've had different degrees time off to 'rest', from a week all the way up to 3-4 months, and it only treats the symptom, not the problem. The pain always came back, and when it did come back, it usually was worse than before.
I went to a lot of different specialists until I found one that I felt actually could help me ( my massage therapist, my savior),
so my advice is seek a second, third, fourth, opinion until something starts working!
GOod luck, KaraM

Re: Effectiveness of Rest in Treating PF

Sarah on 9/15/99 at 00:00 (010976)

I decreased my activity level stoppde playing tennis altogether during physical therapy. I saw improvement in my heels during this time. Was it the rest? Was it the physical therapy? Was it the combonation of both? It's hard to know. I do think that there is a happy medium to be struck. Too much rest and those tendons tighten up more, while too much activity stresses the nerves ect... I took the summer off tennis and began biking. My feet hvae felt much better. I also continued to ice, rub ibuprophen cream on my feet, and stretch during this time even if the pain was less. I start back to tennis tomorrow, but only once a week. Time will tell.

Your job sounds grueling (concrete floor) ext. I will say that my personal trainer recommended a good cross training tennis shoe and I have found them much more comfortable than my walking shoe.

If you do get the cortisone shot, let it rest in your foot for as long as possible so it an do it job. Perhaps get it right before a vaction or take a week off if possible. That was my physical therapists recommendation and I think that she was right.


Re: Effectiveness of Rest in Treating PF

Trish on 9/14/99 at 00:00 (010952)

My opinion is that it's bad news.........

Re: Effectiveness of Rest in Treating PF

Lee M. on 9/15/99 at 00:00 (010954)

Jeff,
I'm a hairstylist and work on tile floors in my salon. Also have almost all tile in my home (big mistake). I've wondered if I took a month off
of work if it would help my pf (bone spur) heal. Sometimes my foot seems better when I've been walking more. Kind of like stretching it. And if rest does help, why is it so much worse in the morning. Most of my pain is gone, and I've been so hopeful that I could get rid of the last bit of pain, but nothing is working. I can stand and walk on my foot for most of the day now. A few months ago I was ready to retire or cut off my foot.
Has anybody really stayed completely off their feet, and has it
helped ????

Re: Effectiveness of Rest in Treating PF

Lori S on 9/15/99 at 00:00 (010958)

I 'rested' for 3 weeks after my surgery this summer and it didn't help my other foot at all. So, I don't think it's much help.
Lori in AZ

Re: Effectiveness of Rest in Treating PF

YokoS on 9/15/99 at 00:00 (010962)

Dear LeeM
Let me tell you my experience.
I am a pretty much active full time office worker.
I took 2 weeks off and stayed at my parents'(Japan)in July.
No exercise, no driving, no excess walking but watching TV all day long while I was there. I thought this was the only chance to try 'complete rest' of my feet. Before I had left here, my sis made three appintments at well known acupuncture in her neighbor, and she gave me rides. At that time I did not know this board.
My doc told me that 'REST' is the only treatment after custom made ortho, series of shots and pills before surgery. Also I really wanted to go back to upcoming marathon training as soon as my foot was healed, therefore, I decided to have my boring '99 vacation w/parents.
I was pretty much stayed off on my foot for 2 full weeks, except routine walk inside of(tiny) house. Well well well.......
my husband was disappointed to see me still limping at arrival in the US. This is my story, not yours!! Take care.

Re: Effectiveness of Rest in Treating PF

Kara M on 9/15/99 at 00:00 (010968)

Hi,
I agree with all these responses, I'm a teacher so I'm always on my feet, carrying stuff, etc, and I had to figure out my own system to alleviate my pf pain ( tape every morning, birks, stretches, good posture, etc)
I've had different degrees time off to 'rest', from a week all the way up to 3-4 months, and it only treats the symptom, not the problem. The pain always came back, and when it did come back, it usually was worse than before.
I went to a lot of different specialists until I found one that I felt actually could help me ( my massage therapist, my savior),
so my advice is seek a second, third, fourth, opinion until something starts working!
GOod luck, KaraM

Re: Effectiveness of Rest in Treating PF

Sarah on 9/15/99 at 00:00 (010976)

I decreased my activity level stoppde playing tennis altogether during physical therapy. I saw improvement in my heels during this time. Was it the rest? Was it the physical therapy? Was it the combonation of both? It's hard to know. I do think that there is a happy medium to be struck. Too much rest and those tendons tighten up more, while too much activity stresses the nerves ect... I took the summer off tennis and began biking. My feet hvae felt much better. I also continued to ice, rub ibuprophen cream on my feet, and stretch during this time even if the pain was less. I start back to tennis tomorrow, but only once a week. Time will tell.

Your job sounds grueling (concrete floor) ext. I will say that my personal trainer recommended a good cross training tennis shoe and I have found them much more comfortable than my walking shoe.

If you do get the cortisone shot, let it rest in your foot for as long as possible so it an do it job. Perhaps get it right before a vaction or take a week off if possible. That was my physical therapists recommendation and I think that she was right.